healthcare reform as a tax hike and a job killer. it promises that romney will take immediate steps to repeal and replace healthcare reform on day one. the two lesser known healthcare reform provision of the affordable care act kick in today and that means good news for patients and consumers. we're using head care's -- we're using medicare's coverage to help provide more efficient care and higher quality care by withholding 1% of medicare payments to about 3,000 hospitals. medicare authorities can then redistribute and that $850 million to reward hospitals that perform the best. the second part of approving equality of care comes from encouraging hospitals to lower the rate of readmissions. it gets very expensive if we don't get people treated the first time around. so hospitals with high rates of readmissions will lose up to 1% of their medicare payment until they can improve conditions and care. both of these improvements are an effort to get away from a system that pays for quantity of procedures and care as opposed to quality of